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INSPECTION AND ACCEPTANCE REPORT

BUREAU OF FIRE PROTECTION


PATEROS FIRE STATION, FDIV-NCR

Supplier People's Choice Computer Store IAR No.: 2016-

JO No.: Date: Invoice No.: 0000486 Date: 11-24-2016

Requisitioning Office/Dept: Logistics


Unit of
Item No Description/Work Done Quantity
Issue
1 pc Iconz AVR (Automatic Voltage Regulator) 1
***Nothing follows***

INSPECTION ACCEPTANCE

Date Inspected: Date Received:

Complete
Inspected verified and found OK
as to quantity and specifications Partial

FO2 Marco O Arpon FO1 Christian C Casiraya


C, SAO/Logistics FSEU/SAO/Logistics Clerk
Republic of the Philippines
Department of Interior and Local Government
BUREAU OF FIRE PROTECTION
National Capital Region
PATEROS FIRE STATION,FDIV
Magnolia St,Brgy.Sto Rosario-Silangan,Pateros,Metro Manila
Tel.Number (02) 641-1365 Fax Number (02) 641-1365
email: bfppateros@yahoo.com

REQUISITION AND ISSUE SLIP

Entity Name : BUREAU OF FIRE PROTECTION

Division : BFP-NCR FDIV Responsibility Center Code:

Office : Pateros F/Stn RIS No:________________________


Stock
REQUISITION ISSUE
Available?
QUANTI QUANTIT
STOCK NO. Unit DESCRIPTION TY Yes No Y
REMARKS

2 pcs Iconz AVR (Automatic Voltage Regulator) 1 1


***nothing follows***

*****nothing follows*****

PURPOSE: For use of Pateros Fire Station, FDIV BFP-NCR.

Requested by: Approved by: Issued by: Received by:

Signature:
Christian C Casiraya REYNALDO F PANGANIBAN Marco O Arpon Christian C Casiraya
Printed Name: FO1 BFP SINSP BFP FO2 BFP FO1 BFP
FSEU and
SAOClerk
Municipal Fire Marshal Stn, SAO/Logistics FSEU and SAOClerk
Designation :
Date
Appendix 62

INSPECTION AND ACCEPTANCE REPORT

BUREAU OF FIRE PROTECTION-NCR


Pateros Fire Station Fund Cluster:
Supplier: F. Bernal Metal Craft IAR No.: 2016-006
PO No./Date: 23-Jan-16 Date: 27-Jan-16
Requisitioning Office/Dept.: OMFM Invoice No.: 4909
Responsibility Center Code: Date:

Stock/Property No. Description Unit Quantity

1 Commemorative Plate pc 1

INSPECTION ACCEPTANCE
Date Inspected: Date Received:

Inspected, verified and found in order as to Complete


quantity and specifications
Partial (pls. specify quantity)

FO2 Marco O Arpon SFO4 Artemio B Bertuldes Jr.


C, SAO/Logistics C, Admin

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